Rhabdomyolysis During Laparoscopic Hepatic Subsegmentectomy

Park, Pyeong Hoo; Jee, Dae Lim

doi:10.4293/crsls.2014.00190

Cited by 1 publication

(1 citation statement)

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“…The incidence of rhabdomyolysis in partial liver resection surgeries seems to be very rare, which excludes its direct correlation with this type of surgery. Park and Jee [ 15 ], in their review, described rhabdomyolysis in a single case during laparoscopic hepatic segmentectomy, in which their patient complained of multiple other comorbidities that increase the risk of rhabdomyolysis. Another similar case was reported by Lee et al [ 16 ], for a donor who underwent right liver lobe resection.…”

Section: Discussionmentioning

confidence: 99%

Massive Rhabdomyolysis; A Rare Cause of Hepatocellular Dysfunction

Manasra

Shattarah

2018

Am J Case Rep

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Patient: Male, 54Final Diagnosis: RhabdomyolysisSymptoms: Thigh pain • thigh swellingMedication: —Clinical Procedure: HepatectomySpecialty: SurgeryObjective:Rare co-existance of disease or pathologyBackground:Rhabdomyolysis syndrome is a rare surgical complication. It is infrequently reported in prolonged operations under lateral decubitus position. This syndrome mainly impacts kidney function and electrolytes levels; liver is another organ that is uncommonly affected.Case Report:A 54-year-old male underwent a partial hepatectomy in the supine position, the procedure lasted three hours. After five days of uneventful recovery from surgery, he was readmitted to the hospital with rhabdomyolysis syndrome involving his lower limbs. No predisposing factors other than surgery could be identified. Based on blood tests, the only affected organ was the liver. Upon aggressive hydration, the creatinine kinase, hepatic enzymes, bilirubin levels, and prothrombin time were normalized. The patient regained normal physical strength over the next few weeks.Conclusions:Liver dysfunction secondary to rhabdomyolysis is rare but should be considered when other causes are excluded. Prothrombin time, bilirubin levels and albumin levels may help to identify concomitant liver damage. Rhabdomyolysis is rarely reported in liver resection surgeries.

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Section: Discussionmentioning

confidence: 99%